Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-29T10:12:02.541Z Has data issue: false hasContentIssue false

Testing the limits: Extending attachment-based intervention effects to infant cognitive outcome and parental stress

Published online by Cambridge University Press:  12 April 2017

Karine Dubois-Comtois*
Affiliation:
Université du Québec à Trois-Rivières CIUSSS du Nord-de-l’Île-de-Montréal
Chantal Cyr
Affiliation:
Université du Québec à Montréal Centre de recherche Jeunes en difficulté
George M. Tarabulsy
Affiliation:
Centre de recherche universitaire sur les jeunes enfants et les familles Université Laval, Québec
Diane St-Laurent
Affiliation:
Université du Québec à Trois-Rivières
Annie Bernier
Affiliation:
Université de Montréal
Ellen Moss
Affiliation:
Université du Québec à Montréal
*
Address correspondence and reprint requests to: Karine Dubois-Comtois, Department of Psychology, Université du Québec à Trois-Rivières, C.P. 500, Trois-Rivières, QC G9A 5H7, Canada; E-mail: [email protected].

Abstract

Using a sample of 41 infants and toddlers (21 interventions, 20 controls) who were neglected or at serious risk for neglect, this randomized clinical trial examined the efficacy of a parent–child attachment-based video-feedback intervention on parental sensitivity, parental stress, and child mental/psychomotor development. Results showed that following the 8-week intervention, scores for maternal sensitivity and child mental and psychomotor development were higher in the intervention group than in the control group. The intervention appears to have no effect on self-reports of stress. All parents report lower levels of stress postintervention; however, when defensive responding is not considered (i.e., extremely low score of parental stress), parents in the control group report somewhat lower scores, raising questions as to the significance of this finding. Considering the small nature of our sample, replication of the present results is needed. Nevertheless, the present findings contribute to the burgeoning literature suggesting that the early attachment relationship provides an important context that influences developmental outcome in different spheres and raises questions as to how such intervention strategies may or may not affect the subjective experience of parenting.

Type
Special Issue Articles
Copyright
Copyright © Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

This research was supported by a grant from the Public Safety Canada's National Crime Prevention Centre in collaboration with the Quebec Minister of Public Security. We thank our collaborators, les Centres Jeunesse de Lanaudière, and the clinical workers for their invaluable assistance in the research project.

References

Abidin, R. E., Austin, W. G., & Flens, J. R. (2013). The forensic uses and limitations of the Parenting Stress Index. In Archer, R. P. & Wheeler, E. M. A. (Eds.), Forensic uses of clinical assessment instruments (pp. 346379). New York: Routledge.Google Scholar
Abidin, R. R. (1995). Parenting Stress Index. Odessa, FL: Psychological assessment Resources.Google Scholar
Allen, L., & Kelly, B. B. (Eds.). (2015). Transforming the workforce for children birth through age 8: A unifying foundation. Washington, DC: National Academies Press.Google Scholar
Atkinson, L., Chisholm, V. C., Scott, B., Goldberg, S., Vaughn, B. E., Blackwell, J., … Tam, F. (1999). Maternal sensitivity, child functional level, and attachment in Down syndrome. Monographs of the Society for Research in Child Development, 64 (3, Serial No. 258), 4566.CrossRefGoogle ScholarPubMed
Bailey, H. N., Redden, E., Pederson, D. R., & Moran, G. (2016). Parental disavowal of relationship difficulties fosters the development of insecure attachment. Canadian Journal of Behavioural Science, 48, 4959.Google Scholar
Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., & Juffer, F. (2003). Less is more: Meta-analyses of sensitivity and attachment interventions in early childhood. Psychological Bulletin, 129, 195.Google Scholar
Baudry, C., Tarabulsy, G. M., Atkinson, L., Pearson, J., & St-Pierre, A. (2017). Early intervention with adolescent mother-infant dyads and cognitive development in early childhood: A meta-analysis. Prevention Science, 18, 116130.Google Scholar
Bayley, N. (1993). Bayley Scales of Infant Development (2nd ed.) New York: Psychological Corporation.Google Scholar
Bernard, K., Hostinar, C. E., & Dozier, M. (2015). Intervention effects on diurnal cortisol rhythms of Child Protective Services–referred infants in early childhood: Preschool follow-up results of a randomized clinical trial. JAMA Pediatrics, 169, 112119.Google Scholar
Bernard, K., Meade, E. B., & Dozier, M. (2013). Parental synchrony and nurturance as targets in an attachment based intervention: Building upon Mary Ainsworth's insights about mother-infant interaction. Attachment & Human Development, 15, 507523.Google Scholar
Bernier, A., Carlson, S. M., Deschênes, M., & Matte-Gagné, C. (2012). Social factors in the development of early executive functioning: A closer look at the caregiving environment. Developmental Science, 15, 1224.Google Scholar
Bronfenbrenner, U. (1986). Ecology of the family as a context for human development: Research perspectives. Developmental Psychology, 22, 723742.CrossRefGoogle Scholar
Campbell, F., Conti, G., Heckman, J. J., Moon, S. H., Pinto, R., Pungello, E., & Pan, Y. (2014). Early childhood investments substantially boost adult health. Science, 343, 14781485.Google Scholar
Chen, M., & Chan, K. L. (2016). Effects of parenting programs on child maltreatment prevention: A meta-analysis. Trauma, Violence and Abuse, 17, 88104.Google Scholar
Cicchetti, D., Rogosch, F. A., & Toth, S. L. (2006). Fostering secure attachment in infants in maltreating families through preventive interventions. Development and Psychopathology, 18, 623649.Google Scholar
Cicchetti, D., & Toth, S. L. (2006). Building bridges and crossing them: Translational research in developmental psychopathology. Development and Psychopathology, 18, 619622.Google Scholar
DeWolff, M. S., & van IJzendoorn, M. H. (1997). Sensitivity and attachment: A meta-analysis on parental antecedents of infant attachment. Child Development, 68, 571591.Google Scholar
Dimitrov, D. M., & Rumrill, P. D. Jr. (2003). Pretest-posttest designs and measurement of change. Work, 20, 159165.Google Scholar
Dozier, M., Peloso, E., Lindhiem, O., Gordon, M. K., Manni, M., Sepulveda, S., … Levine, S. (2006). Developing evidence-based interventions for foster children: An example of a randomized clinical trial with infants and toddlers. Journal of Social Issues, 62, 765783.Google Scholar
Erickson, M. F., & Egeland, B. (2002). Child neglect. In Myers, J. E. B. (Ed.), APSAC handbook on child maltreatment (pp. 320). Thousand Oaks, CA; Sage.Google Scholar
Ethier, L. S., Couture, G., Lacharité, C., & Gagnier, J.-P. (2000). Impact of a multidimensional intervention program applied to families at risk for child neglect. Child Abuse Review, 9, 1936.Google Scholar
Field, T. M., Pickens, J., Prodromidis, M., Malphurs, J., Fox, N., Bendell, D., … Kuhn, C. (2000). Targeting adolescent mothers with depressive symptoms for early intervention. Adolescence, 35, 381414.Google ScholarPubMed
Field, T. M., Widmayer, S. M., Greenberg, R., & Stoller, S. (1982). Effects of parent training on teenage mothers and their infants. Pediatrics, 69, 703707.Google Scholar
Gupta, S. K. (2011). Intention-to-treat concept: A review. Perspectives in Clinical Research, 2, 109112.CrossRefGoogle ScholarPubMed
Hinde, R. A. (1987). Individuals, relationships and culture: Links between ethology and the social sciences. Cambridge: Cambridge University Press.Google Scholar
Joiner, T. E., Schmidt, K. L., & Metalsky, G. I. (1994). Low-end specificity of the Beck Depression Inventory. Cognitive Therapy and Research, 18, 5568.Google Scholar
Juffer, F., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (Eds.). (2008). Promoting positive parenting: An attachment-based intervention. New York: Erlbaum.Google Scholar
Lemelin, J. P., Tarabulsy, G. M., & Provost, M. (2006). Predicting preschool cognitive development from infant temperament, maternal sensitivity, and psychosocial risk. Merrill-Palmer Quarterly, 52, 779804.Google Scholar
Lind, T., Bernard, K., Ross, E., & Dozier, M. (2014). Intervention effects on negative affect of CPS-referred children: Results of a randomized clinical trial. Child Abuse & Neglect, 38, 14591467.CrossRefGoogle ScholarPubMed
Lyons-Ruth, K., Zoll, D., Connell, D., & Grunebaum, H. U. (1986). The depressed mother and her one-year-old infant: Environment, interaction, attachment and infant development. In Tronick, E. & Field, T. (Eds.), Maternal depression and infant disturbance (pp. 6182). San Francisco, CA: Jossey-Bass.Google Scholar
McLoyd, V. C. (1998). Socioeconomic disadvantage and child development. American Psychologist, 53, 185204.Google Scholar
McSherry, D. (2007). Understanding and addressing the “neglect of neglect”: Why are we making a mole-hill out of a mountain? Child Abuse & Neglect, 31, 607614.CrossRefGoogle ScholarPubMed
Moss, E., Dubois-Comtois, K., Cyr, C., Tarabulsy, G. M., St.-Laurent, D., & Bernier, A. (2011). Efficacy of a home-visiting intervention aimed at improving maternal sensitivity, child attachment, and behavioral outcomes for maltreated children: A randomized control trial. Development and Psychopathology, 23, 195210.Google Scholar
Moss, E., Tarabulsy, G. M., St.-Georges, R., Dubois-Comtois, K., Cyr, C., Bernier, A., & Lecompte, V. (2014). Video-feedback intervention with maltreating parents and their children: Program implementation and case study. Attachment & Human Development, 16, 329342.Google Scholar
NICHD Early Child Care Research Network. (2005). Child care and child development: Results from the NICHD study of early child care and youth development. New York: Guilford Press.Google Scholar
O'Hara, M., Legano, L., Homel, P., Walker-Descartes, I., Rojas, M., & Laraque, D. (2015). Children neglected: Where cumulative risk theory fails. Child Abuse & Neglect, 45, 18.Google Scholar
Osofsky, J. D., Kronenberg, M., Hammer, J. H., Lederman, J. C., Katz, L., Adams, S., … Hogan, A. (2007). The development and evaluation of the intervention model for the Florida Infant Mental Health Pilot Program. Infant Mental Health Journal, 28, 259280.CrossRefGoogle ScholarPubMed
Overall, J. E., Tonidandel, S., & Starbuck, R. R. (2009). Last-observation-carried-forward (LOCF) and tests for difference in mean rates of change in controlled repeated measurements designs with dropouts. Social Science Research, 38, 492503.Google Scholar
Oxford, M. L., Fleming, C. B., Nelson, E. M., Kelly, J. F., & Spieker, S. J. (2013). Randomized trial of Promoting First Relationships: Effects on maltreated toddlers’ separation distress and sleep regulation after reunification. Children and Youth Services, 35, 19881992.Google Scholar
Oxford, M. L., Marcenko, M., Fleming, C. B., Lohr, M. J., & Spieker, S. J. (2016). Promoting birth parents’ relationships with their toddlers upon reunification: Results from Promoting First Relationships home visiting program. Children and Youth Services Review, 61, 109116.CrossRefGoogle ScholarPubMed
Pauli-Pott, U., Mertesacker, B., & Beckmann, D. (2004). Predicting the development of infant emotionality from maternal characteristics. Development and Psychopathology, 16, 1942.CrossRefGoogle ScholarPubMed
Pederson, D. R., Gleason, K. E., Moran, G., & Bento, S. (1998). Maternal attachment representations, maternal sensitivity, and the infant–mother attachment relationship. Developmental Psychology, 34, 925933.Google Scholar
Pederson, D. R., & Moran, G. (1995). A categorical description of attachment relationships in the home and its relation to Q-sort measures of infant-mother interaction. Monographs of the Society for Research in Child Development, 60(2–3, Serial No. 244), 247254.Google Scholar
Perry, B. D. (2002). Childhood experience and the expression of genetic potential: What childhood neglect tells us about nature and nurture. Brain and Mind, 3, 79100.CrossRefGoogle Scholar
Raby, K. L., Roisman, G. I., Fraley, R. C., & Simpson, J. A. (2015). The enduring predictive significance of early maternal sensitivity: Social and academic competence through age 32 years. Child Development, 86, 695708.Google Scholar
Spieker, S. J., Nelson, D., DeKlyen, M., & Staerkel, F. (2005). Enhancing early attachment in the context of Early Head Start: Can programs emphasizing family support improve rates of secure infant-mother attachments in low-income families ? In Berlin, L. J., Ziv, Y., Amaya-Jackson, L., & Greenberg, M. T. (Eds.), Enhancing early attachments: Theory, research, intervention and policy (pp. 250275). New York: Guilford Press.Google Scholar
Spieker, S. J., Oxford, M. L., Kelly, J. F., Nelson, E. M., & Fleming, C. B. (2012). Promoting First Relationships: Randomized trial of a relationship-based intervention for toddlers in child welfare. Child Maltreatment, 17, 271286.Google Scholar
Sroufe, L. A., Egeland, B., Carlson, E. A., & Collins, W. A. (2005). The development of the person. New York: Guilford Press.Google Scholar
Statistics Canada. (2008). Les seuils de faible revenu de 2007 et les mesures de faible revenu de 2006. Ottawa: Ministre de l'Industrie.Google Scholar
Strathearn, L., Gray, P. H., O'Callaghan, M. J., & Wood, D. O. (2001). Childhood neglect and cognitive development in extremely low birth weight infants: A prospective study. Pediatrics, 108, 142151.Google Scholar
Sweet, M. A., & Appelbaum, M. I. (2004). Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75, 14351456.Google Scholar
Tarabulsy, G. M., Bernier, A., Provost, M. A., Maranda, J., Larose, S., Moss, E., Larose, M. & Tessier, R. (2005). Another look inside the gap: Ecological contributions to the transmission of attachment in a sample of adolescent mother-infant dyads. Developmental Psychology, 41, 212224.Google Scholar
Tarabulsy, G. M., Pascuzzo, K., Moss, E., St.-Laurent, D., Bernier, A., Cyr, C., & Dubois-Comtois, K. (2008). Attachment-based interventions for maltreating families. American Journal of Orthopsychiatry, 78, 322332.Google Scholar
Teti, D. M., Nakagawa, M., Das, R., & Wirth, O. (1991). Security of attachment between preschoolers and their mothers: Relations among social interaction, parenting stress and mothers’ sorts of the attachment Q-set. Developmental Psychology, 27, 440447.Google Scholar
Thomas, R., & Zimmer-Gembeck, M. J. (2011). Accumulating evidence for parent–child interaction therapy in the prevention of child maltreatment. Child Development, 82, 177192.Google Scholar
Timmer, S. G., Urquiza, A. J., Zebell, N. M., & McGrath, J. M. (2005). Parent-child interaction therapy: Application to maltreating parent-child dyads. Child Abuse & Neglect, 29, 825842.Google Scholar
Timmer, S. G., Ware, L. M., Urquiza, A. J., & Zebell, N. M. (2010). The effectiveness of parent–child interaction therapy for victims of interparental violence. Violence and Victims, 25, 486503.Google Scholar
van IJzendoorn, M. H., & Bakermans-Kranenburg, M. J. (2004). Maternal sensitivity and infant temperament in the formation of attachment. In Bremner, G. & Slater, A. (Eds.), Theories of infant development (pp. 231257). Malden, MA: Blackwell.Google Scholar
van IJzendoorn, M. H., Vereijken, C. M., Bakermans-Kranenburg, M. J., & Marianne Riksen-Walraven, J. (2004). Assessing attachment security with the attachment Q sort: Meta-analytic evidence for the validity of the observer AQS. Child Development, 75, 11881213.Google Scholar
Wallace, K. S., & Rogers, S. J. (2010). Intervening in infancy: Implications for autism spectrum disorders. Journal of Child Psychology and Psychiatry, 51, 13001320.Google Scholar